rs144426436

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_012156.2(EPB41L1):​c.1643A>G​(p.Lys548Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00375 in 1,613,530 control chromosomes in the GnomAD database, including 25 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0027 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0039 ( 24 hom. )

Consequence

EPB41L1
NM_012156.2 missense

Scores

4
14

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 2.65

Publications

8 publications found
Variant links:
Genes affected
EPB41L1 (HGNC:3378): (erythrocyte membrane protein band 4.1 like 1) Erythrocyte membrane protein band 4.1 (EPB41) is a multifunctional protein that mediates interactions between the erythrocyte cytoskeleton and the overlying plasma membrane. The encoded protein binds and stabilizes D2 and D3 dopamine receptors at the neuronal plasma membrane. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jan 2015]
EPB41L1 Gene-Disease associations (from GenCC):
  • autosomal dominant non-syndromic intellectual disability
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • complex neurodevelopmental disorder
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen
  • intellectual disability, autosomal dominant 11
    Inheritance: AD Classification: LIMITED Submitted by: G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.010875225).
BP6
Variant 20-36198016-A-G is Benign according to our data. Variant chr20-36198016-A-G is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 210945.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 414 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_012156.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
EPB41L1
NM_012156.2
MANE Select
c.1643A>Gp.Lys548Arg
missense
Exon 14 of 22NP_036288.2
EPB41L1
NM_001433605.1
c.1643A>Gp.Lys548Arg
missense
Exon 14 of 23NP_001420534.1
EPB41L1
NM_001258329.1
c.1643A>Gp.Lys548Arg
missense
Exon 15 of 23NP_001245258.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
EPB41L1
ENST00000338074.7
TSL:1 MANE Select
c.1643A>Gp.Lys548Arg
missense
Exon 14 of 22ENSP00000337168.2
EPB41L1
ENST00000373946.7
TSL:1
c.1643A>Gp.Lys548Arg
missense
Exon 15 of 23ENSP00000363057.4
EPB41L1
ENST00000202028.9
TSL:1
c.1421A>Gp.Lys474Arg
missense
Exon 13 of 20ENSP00000202028.5

Frequencies

GnomAD3 genomes
AF:
0.00272
AC:
413
AN:
152054
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000676
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000917
Gnomad ASJ
AF:
0.000864
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00707
Gnomad MID
AF:
0.00318
Gnomad NFE
AF:
0.00425
Gnomad OTH
AF:
0.00144
GnomAD2 exomes
AF:
0.00284
AC:
707
AN:
248540
AF XY:
0.00280
show subpopulations
Gnomad AFR exome
AF:
0.000633
Gnomad AMR exome
AF:
0.00130
Gnomad ASJ exome
AF:
0.000898
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00921
Gnomad NFE exome
AF:
0.00382
Gnomad OTH exome
AF:
0.00280
GnomAD4 exome
AF:
0.00386
AC:
5643
AN:
1461356
Hom.:
24
Cov.:
37
AF XY:
0.00375
AC XY:
2724
AN XY:
726986
show subpopulations
African (AFR)
AF:
0.000478
AC:
16
AN:
33472
American (AMR)
AF:
0.00134
AC:
60
AN:
44716
Ashkenazi Jewish (ASJ)
AF:
0.000765
AC:
20
AN:
26128
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39696
South Asian (SAS)
AF:
0.0000696
AC:
6
AN:
86250
European-Finnish (FIN)
AF:
0.0105
AC:
556
AN:
53064
Middle Eastern (MID)
AF:
0.000347
AC:
2
AN:
5760
European-Non Finnish (NFE)
AF:
0.00435
AC:
4839
AN:
1111892
Other (OTH)
AF:
0.00238
AC:
144
AN:
60378
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
336
672
1007
1343
1679
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
180
360
540
720
900
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00272
AC:
414
AN:
152174
Hom.:
1
Cov.:
32
AF XY:
0.00276
AC XY:
205
AN XY:
74408
show subpopulations
African (AFR)
AF:
0.000674
AC:
28
AN:
41528
American (AMR)
AF:
0.000916
AC:
14
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.000864
AC:
3
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5170
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4806
European-Finnish (FIN)
AF:
0.00707
AC:
75
AN:
10602
Middle Eastern (MID)
AF:
0.00342
AC:
1
AN:
292
European-Non Finnish (NFE)
AF:
0.00426
AC:
290
AN:
67996
Other (OTH)
AF:
0.00142
AC:
3
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.514
Heterozygous variant carriers
0
21
42
63
84
105
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00324
Hom.:
2
Bravo
AF:
0.00226
TwinsUK
AF:
0.00297
AC:
11
ALSPAC
AF:
0.00389
AC:
15
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.00256
AC:
22
ExAC
AF:
0.00263
AC:
319
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00376
EpiControl
AF:
0.00326

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Sep 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

EPB41L1: BS2

Dec 31, 2019
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not specified Benign:1
Oct 20, 2015
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

EPB41L1-related disorder Benign:1
Feb 27, 2020
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications).

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.099
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.28
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.12
T
Eigen
Benign
-0.26
Eigen_PC
Benign
-0.22
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Uncertain
0.96
D
M_CAP
Benign
0.031
D
MetaRNN
Benign
0.011
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.69
N
PhyloP100
2.7
PrimateAI
Uncertain
0.55
T
PROVEAN
Benign
-0.58
N
REVEL
Benign
0.25
Sift
Benign
0.43
T
Sift4G
Benign
0.49
T
Polyphen
0.57
P
Vest4
0.27
MVP
0.83
MPC
0.31
ClinPred
0.015
T
GERP RS
4.0
PromoterAI
-0.049
Neutral
Varity_R
0.056
gMVP
0.21
Mutation Taster
=100/0
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs144426436; hg19: chr20-34785938; COSMIC: COSV99058415; API